Individual
DR. PRICE P OMONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-2400
Mailing address
1001 HOLLOW VALLEY CT, CASEYVILLE, IL 62232-2838
(217) 403-1634
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-100726
IL
207Q00000X
Family Medicine Physician
036-100726
IL
208D00000X
General Practice Physician
036-100726
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036100726
BLUE SHIELD
IL
05
—
036100726-1
—
IL
05
—
036100726-2
—
IL
05
—
036100726-3
—
IL
05
—
036100726-5
—
IL
05
—
1477504488
—
MO
05
—
200233440
—
IN
05
—
7100112980
—
KY
Enumeration date
05/15/2006
Last updated
11/08/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us